| Lama Pediatric Therapy | |
|
1315 W Fletcher Ave Tampa FL 33612-3310 | |
| (813) 269-4879 | |
| (813) 544-5561 |
| Full Name | Lama Pediatric Therapy |
|---|---|
| Speciality | Speech-language Pathologist |
| Location | 1315 W Fletcher Ave, Tampa, Florida |
| Authorized Official Name and Position | Colleen Lama (OWNER) |
| Authorized Official Contact | 2192413235 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lama Pediatric Therapy 1315 W Fletcher Ave Tampa FL 33612-3310 Ph: (813) 269-4879 | Lama Pediatric Therapy 1315 W Fletcher Ave Tampa FL 33612-3310 Ph: (813) 269-4879 |
| NPI Number | 1932790052 |
|---|---|
| Provider Enumeration Date | 02/01/2021 |
| Last Update Date | 06/20/2023 |
| Certification Date | 06/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932790052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
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